Network Management Contract Manager (Medicaid Health Systems

Schedule: Full-time

What You Will Do at ODM:

Office: Operations

Bureau: Network Management

Classification: Medicaid Health Systems Administrator 1 (PN 20046557)

Job Overview:

As the Bureau of Network Management Contract Manager in the Office of Operations, Ohio Department of Medicaid (ODM), your responsibilities will include:

Manage invoicing and purchase order processes for vendors.

Review Service Level Agreements (SLA) for vendors to ensure that providers remain compliant with Ohio Medicaid expectations/metrics

Performing research and answering questions related to legislative and policy initiatives such as implementation and ongoing assessment of new programs, populations and/or initiatives

Participate in Request For Proposal (RFP) processes and decision points

Manage grant programs

Assist the department with budget processes and decision points

Work with internal and external customers to meet agency goals and initiatives

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 mos. exp. in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis).

-Or 12 months experience has Medicaid Health Systems Specialist, 65293, may be substituted for the experience required, but not for the mandated licensure, if required. Note: education & experience is to be commensurate with approved position description on file. -If position oversees assessment or reassessment of clinical appropriateness of services &/or payment policies &/or related issues in regards to Medicaid health services delivery, incumbent must also have current & valid license as registered nurse as issued by Ohio Board of Nursing, pursuant to Sections 4723.03-4723.09 of Ohio Revised Code.

-Or equivalent of Minimum Class Qualifications for Employment noted above may be substituted for the experience required, but not for the mandated licensure.

Job Skills: Health Administration